Organization Active NPI

Craig J Denny MD Prof Corp

Doing business as Craig Denny MD Psychiatry

  • Psychiatry Physician
  • Idaho Falls, ID
National Provider Identifier
1932552379
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M-9188 Issued in ID
Legal business name
CRAIG J DENNY MD PROF CORP
Doing business as
Craig Denny MD Psychiatry
Practice address
2065 E 17TH St Ste B
Idaho Falls, ID 83404-8042
Phone
(208) 520-6053
Fax
(208) 497-0843
NPI assigned
Jul 21, 2016
Last updated
Feb 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie Denny
Title
Practice Administrator
Phone
(208) 681-7659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X M-9188 ID Primary

Addresses

Primary practice location

2065 E 17TH St Ste B
Idaho Falls, ID 83404-8042

Mailing address

4612 E Majestic View Dr
Ammon, ID 83406-8180
Phone (208) 681-7659

Other identifiers 1

IdentifierTypeStateIssuer
1720071319MedicaidID

Other names 1

  • Craig Denny MD Psychiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050330000820 ID Part B Supplier - Clinic/Group Practice 7911953161 Receives reassigned benefits from 1 practitioner
Practice locations: Blackfoot, ID; Idaho Falls, ID

National Provider Directory

National Provider Directory
Tax ID family
Craig Denny MD Psychiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2065 E 17th St
Ste B
Idaho Falls, ID 83404
Phone (208) 520-6053

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1932552379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 E MAJESTIC VIEW DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834068180",
            "telephone_number": "208-681-7659",
            "fax_number": "208-497-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 E 17TH ST STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048042",
            "telephone_number": "208-520-6053",
            "fax_number": "208-497-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG J DENNY MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "DENNY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "208-681-7659"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M-9188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720071319",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craig Denny MD Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.